Abstract
Relevance. Professional activities of the officers of the Navy of Russia and the Ground Forces of Russia are obviously different. Due to autonomous combat missions, medical support for the officers of the Russian Navy is quite specific, with high requirements to the health status of the navy personnel.Intention. To analyze morbidity of officers of the Russian Navy and the Ground Forces in 2003–2018.Methodology. A selective statistical analysis was performed using medical reports on the state of health of personnel and activities of the medical service according to Form 3 / MED in military units, in which about 60% of the total number of officers of the Armed Forces of Russia served in 2003–2018. Commonly accepted medical and statistical morbidity indicators were analyzed by disease categories of the International Statistical Classification of Diseases and Health Problems, 10th revision.Results and Discussion. The average annual morbidity rates for Russian Navy officers were (918.9 ± 35.3) and (1014.0 ± 79.2) ‰ for the Russian Navy and Ground Forces officers, respectively; primary morbidity rates were (351.0 ± 9.2) and (473.5 ± 38.0) ‰, respectively (p < 0.01); the need for case follow-up was (151.0 ± 9.1) and (114.2 ± 9.2) ‰, respectively (p <0.05); hospital admissions (236.5 ± 11.1) and (194.6 ± 17.8) ‰, respectively; work days lost (4997 ± 183) and (4180 ± 354) ‰, respectively; dismissal rates (15.90 ± 1.36) and (12.27 ± 2.72) ‰, respectively; mortality rates were (102.53 ± 5.95) and (138.35 ± 9.49) per 100 thousand officers of the respective cohort (p < 0.01). The trends in almost all morbidity and mortality types are not consistent, which may indicate the influence of various factors, for example, military-professional ones. The consistency of the trends of dismissal rates is moderate and statistically significant (r = 0.56; p <0.05), which indicates the influence of unidirectional factors, possibly organizational ones. When assessing the military-epidemiological significance of disase categories, the following diseases ranked first: acute respiratory infections of the upper respiratory tract (J00 – J06 by ICD-10), coronary heart disease (I20 – I25), hypertensive diseases (I10 – I15), diseases of the esophagus, stomach and duodenum (K20 – K31). In the Russian Navy officers, the leading 10 disease categories included malignant neoplasms (C00 – C80), obesity and other hyperalimentation (E65 – E68); other acute respiratory infections of the lower respiratory tract (J20 – J22), infections of the skin and subcutaneous tissue (L00 – L08).Conclusion. Prevention, timely treatment and rehabilitation will help improve the health status of officers. Taking into account the rates and structure of morbidity will optimize allocation of resources the medical service of the Armed Forces of Russia.
Highlights
Military service under special and ex treme conditions contributes to the health deterioration or even death [13]
In the previous paper [3], conducted of medical and statistical morbidity indicators were comparatively analyzed in servicemen under contract in the Russian Navy and Ground Forces
It can be assumed that this phenomenon was caused by the peculiarities of profession al activity, the organization of medical care and high demands placed on the health status of military personnel of the Russian Navy
Summary
Military service under special and ex treme conditions contributes to the health deterioration or even death [13]. Due to autonomous combat missions, medical support for the officers of the Russian Navy is quite speci fic, with high requirements to the health status of the navy personnel [5, 7, 9]. In the previous paper [3], conducted of medical and statistical morbidity indicators were comparatively analyzed in servicemen under contract (sergeants, foremen, sol diers and sailors) in the Russian Navy and Ground Forces. It can be assumed that this phenomenon was caused by the peculiarities of profession al activity, the organization of medical care and high demands placed on the health status of military personnel of the Russian Navy. The intention was to analyze morbidi ty of officers of the Russian Navy and the Ground Forces in 2003–2018
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